Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Facility		$183.26	$183.26	$183.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $104.18 / $214.96	Professional		$74.92	$104.18	$214.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $111.20	Professional		$87.56	$87.56	$111.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $131.93 / $246.81	Professional		$82.93	$131.93	$246.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $163.09 / $239.62	Professional		$124.59	$163.09	$239.62
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $137.59 / $236.85	Professional		$96.72	$137.59	$236.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $145.38 / $177.99	Professional		$116.14	$145.38	$177.99